professor kevin fenton national director, health & wellbeing health and wellbeing in public...
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Professor Kevin Fenton National Director, Health & Wellbeing
Health and Wellbeing in Public Health England: Promoting Innovation for Impact
Public Health England
Public Health England is the authoritative leader in national public health and the expert service provider for public health in England
PHE Leads in three domains of the Public Health Outcomes Framework: Health Improvement, Health Protection, and Healthcare Public Health
2 Introduction to Public Health England
PHE Mission
Public Health England’s mission is to work with and alongside others to protect and improve the public’s health and well-being and reduce inequalities through our advocacy; application of knowledge, evidence and insight; transparent reporting of outcomes; and nurturing the public health system and workforce
3 Introduction to Public Health England
Local Authorities
Local Authorities, with detailed understanding of their communities and circumstances are the natural leaders for public health in their areas. Public Health England will support them with knowledge and expertise to help them deliver on their responsibilities
• PHE is structured into four regions and fifteen centres spread across the country. The centres are key to the interaction with local authorities
4 Introduction to Public Health England
Partnerships will be key
Public Health England cannot succeed by itself. Our partnerships with local authorities, the NHS and the third sector are what will allow us to achieve the outcomes we want.
Our partners provide broader avenues by which the public interact with the health system and may be advocates for public health. PHE will work with and support our partners to ensure the best outcomes.
5 Introduction to Public Health England
Health and Wellbeing Directorate
The PHE Health and Wellbeing Directorate will lead Public Health England’s work to improve health and wellness and address the major drivers of disease, disadvantage, and death across England.
The Directorate will use an integrated approach working with local government, the NHS, voluntary sector and others to support the development, implementation and scale-up of robust, effective population health programs, promote well being, tackle health inequalities, and address the social determinants of health
Introduction to Public Health England6
The Directorate’s ApproachHealth and Wellbeing
Health and Wellbeing
Directorate
IntegratedApproach
DeliverAccelerate Public Health Outcomes
EngagePublic Education
and Empowerment
SupportPublic Health
Workforce Capacity
ChampionScale High Impact
Interventions
PartnerTackle Health
Inequities
Support local government, voluntary sector, the NHS and other partners in their mission to align activities and promote improved outcomes for the public’s health and well being and to reduce health inequities
Inform, educate, and empower the public and communities nationwide, especially those in greatest need, to take better control of health, their determinants and outcomes
Support the development of a robust public health workforce who are knowledgeable, capable, passionate and effective in improving health, promoting wellness, and addressing health inequities
Champion science and translational research to inform the development, implementation, and scale-up of high-impact evidence-based strategies to improve public health outcomes
Engage multisectoral partnerships, including with other government departments, to focus on and address health inequities and to tackle the social determinants of health
The Directorate will use an integrated approach
working with a range of partners to support the
development, implementation and scale up of robust, effective population health programs and
to address the social determinants of health
Health Impact PrioritiesHealth and Wellbeing Directorate
Health and Wellbeing
Directorate
Health Impact
Priorities
Well being and Mental
Health
Mental disorder accounts for largest burden (23%) of diseases in England and affects >1 in 4 of the population at any timeMental wellbeing assoc with improved outcomes in health, education, employment, reduced crime and antisocial behaviourPublic mental health: Better assessment; interventions; prioritization
Diet, Obesity, and
Physical Exercise
All major causes of CVD and cancer. Poor diet accounts for one third of deaths from cancer and CVD. Low levels of physical activity increases the risk CVD, colorectal and breast cancer by 20-35%. Obesity increases risk of type II diabetes (5-13 times), hypertension (2-3 times) and colorectal cancer (3 times) in men.
Tobacco Control and
Smoking Cessation
Accounts for 20% of new cases of cancer (23%M and16%F)Tobacco causes nearly 1 in 5 deaths in England annuallyFor each death, 20 more suffer tobacco-related illnessesComprehensive cessation programs; excise tax increases; 100% smoke-free policies; media campaigns; cessation access; advertising restrictions work.
Alcohol Moderation
and Drug Recovery
Much of the cost of drug and alcohol misuse occurs to the criminal justice system. The main costs to society from drug an alcohol is from related crime. This is different to other lifestyle health related areas and needs a different public health response.
HIV and Sexual health
By the end of 2012 likely more than 100,000 PLWHA in the UKLate diagnosis a major problem with 50% diagnosed with CD4<350Millions of STD diagnosed annually, esp. among youth, MSM, minoritiesHIV/STD screening, early treatment, partner notification, social marketing campaigns, condom access, and policy to address stigma and discrimination are key interventions
While supporting and ensuring progress against the PHOF, the Directorate
will provide enhanced focus on the major
drivers of mortality and morbidity in England
where further gains may be made by scaling
known, effective strategies
Life Course Perspective
Health and Wellbeing Directorate
Health and Wellbeing
Directorate
Life Course Perspective
Healthy Infants, Children, and Young Adults
Healthy Adults and Older
Adults
Healthcare Public Health
Healthy People in Healthy
Places
Health in All Policies
A focus on improving health and health outcomes for mothers and infants, children, teens and young adults
All people, and especially those at greater risk of health disparities, will achieve their optimal lifespan with the best possible quality of health, including mental health, in every stage of life
Support sound decision-making and policy change within the NHS to deliver, scale up, evaluate and improve effective clinical preventive services that drive population health
Ensuring that the places where people live, work, learn, and play will protect and promote their health, especially those people at greater risk of health disparities.
Inform and support DH and other government partners in sound decision-making and policy change at all levels to deliver and evaluate programmes and address social determinants of health.
Expert Advisors will assist PHE technical leads to
develop, implement and monitor population health, and health and wellness across the lifespan in 5 domains. They will also assist PHE in promoting the value and impact of
this approach to our partners and stakeholders.
Promoting Innovation for Impact
Health and Wellbeing Directorate is committed to:
• Supporting the development and delivery of high quality, effective, evidence-based prevention programmes
• Using new technologies, including digital and social media, to engage and empower individuals, communities and our partners about health and well-being
• Building capacity in important areas including public mental health, population healthcare, accidents injuries and violence
• Working with diverse partners to encourage settings-based approaches to health and well-being, in addition to promoting health across the lifespan
• Integrating insights from behavioural science to improve the effectiveness, efficiency, and acceptability of our programmes
Introduction to Public Health England10
Summary
This is a time of great opportunity to focus on the public’s health in a more comprehensive, holistic, and empowering way
Initiatives such as MECC align with the mission, values, and approach to health improvement being promoted by Public Health England
MECC is also a critical strategy to encourage more health promoting healthcare environments, with local leadership and deeper engagement of staff in the health and well-being agenda
PHE remains keen to support MECC, identifying opportunities to learn from and promote promising practices, across the entire system, where possible
Professor Kevin Fenton National Director, Health & Wellbeing
Health and Wellbeing in Public Health England: Promoting Innovation for Impact